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dc.contributor.authorVolovici, Victor
dc.contributor.authorErcole, Ari
dc.contributor.authorCiterio, Giuseppe
dc.contributor.authorStocchetti, Nino
dc.contributor.authorHaitsma, Iain K
dc.contributor.authorHuijben, Jilske A
dc.contributor.authorDirven, Clemens MF
dc.contributor.authorvan der Jagt, Mathieu
dc.contributor.authorSteyerberg, Ewout W
dc.contributor.authorNelson, David
dc.contributor.authorCnossen, Maryse C
dc.contributor.authorMaas, Andrew IR
dc.contributor.authorPolinder, Suzanne
dc.contributor.authorMenon, David
dc.contributor.authorLingsma, Hester F
dc.date.accessioned2018-12-13T00:30:31Z
dc.date.available2018-12-13T00:30:31Z
dc.date.issued2019-02
dc.identifier.issn0883-9441
dc.identifier.urihttps://www.repository.cam.ac.uk/handle/1810/286769
dc.description.abstractWithin a prospective, observational, multi-center cohort study 68 hospitals (of which 66 responded), mostly academic (n = 60, 91%) level I trauma centers (n = 44, 67%) in 20 countries were asked to complete questionnaires regarding the "standard of care" for severe neurotrauma patients in their hospitals. From the questionnaire pertaining to ICU management, 12 questions related to admission criteria were selected for this analysis. The questionnaires were completed by 66 centers. The median number of TBI patients admitted to the ICU was 92 [interquartile range (IQR): 52-160] annually. Admission policy varied; in 45 (68%) centers, patients with a Glasgow Come Score (GCS) between 13 and 15 without CT abnormalities but with other risk factors would be admitted to the ICU while the rest indicated that they would not admit these patients routinely to the ICU. We found no association between ICU admission policy and the presence of a dedicated neuro ICU, the discipline in charge of rounds, the presence of step down beds or geographic location (North- Western Europe vs. South - Eastern Europe and Israel). Variation in admission policy, primarily of mild TBI patients to ICU exists, even among high-volume academic centers and seems to be largely independent of other center characteristics. The observed variation suggests a role for comparative effectiveness research to investigate the potential benefit and cost-effectiveness of a liberal versus more restrictive admission policies.
dc.description.sponsorshipEU FP7 grant
dc.format.mediumPrint-Electronic
dc.languageeng
dc.publisherElsevier BV
dc.subjectHumans
dc.subjectCritical Care
dc.subjectHospitalization
dc.subjectPatient Admission
dc.subjectCohort Studies
dc.subjectProspective Studies
dc.subjectTrauma Centers
dc.subjectIntensive Care Units
dc.subjectCost-Benefit Analysis
dc.subjectIsrael
dc.subjectEurope
dc.subjectSurveys and Questionnaires
dc.subjectBrain Injuries, Traumatic
dc.titleIntensive care admission criteria for traumatic brain injury patients across Europe.
dc.typeArticle
prism.endingPage161
prism.publicationDate2019
prism.publicationNameJ Crit Care
prism.startingPage158
prism.volume49
dc.identifier.doi10.17863/CAM.34076
dcterms.dateAccepted2018-11-07
rioxxterms.versionofrecord10.1016/j.jcrc.2018.11.002
rioxxterms.versionAM
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.licenseref.startdate2019-02
dc.contributor.orcidErcole, Ari [0000-0001-8350-8093]
dc.contributor.orcidMenon, David [0000-0002-3228-9692]
dc.identifier.eissn1557-8615
rioxxterms.typeJournal Article/Review
pubs.funder-project-idEuropean Commission (602150)
cam.issuedOnline2018-11-08
rioxxterms.freetoread.startdate2019-11-08


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